J Vasc Surg. 2009 Jul;50(1):134-9. Celiac artery compression syndrome managed by laparoscopy. Baccari P, Civilini E, Dordoni L, Melissano G, Nicoletti R, Chiesa R. Department of General Surgery, Scientific Institute San Raffaele University Hospital, Milan, Italy. paolo.baccari@hsr.it Abstr...

act OBJECTIVE: Celiac artery compression syndrome (CACS) is an unusual condition caused by abnormally low insertion of the median fibrous arcuate ligament and muscular diaphragmatic fiber resulting in luminal narrowing of the celiac trunk. Surgical treatment is the release of the extrinsic compression by division of the median arcuate ligament overlying the celiac axis and skeletonization of the aorta and celiac trunk. The laparoscopic approach has been recently reported for single cases. Percutaneous transluminal angioplasty (PTA) and stenting of the CA alone, before or after the surgical relief of external compression to the celiac axis, has also been used. We report our 7-year experience with the laparoscopic management of CACS caused by the median arcuate ligament. METHODS: Between July 2001 and May 2008, 16 patients (5 men; mean age, 52 years) were treated. Diagnosis was made by duplex ultrasound scan and angiogram (computed tomography [CT] or magnetic resonance). The mean body mass index of the patients was 21.2 kg/m(2). One patient underwent laparoscopic surgery after failure of PTA and stenting of the CA, and two patients after a stenting attempt failed. RESULTS: All procedural steps were laparoscopically completed, and the celiac trunk was skeletonized. The laparoscopic procedures lasted a mean of 90 minutes. Two cases were converted to open surgery for bleeding at the end of the operation when high energies were used. The postoperative course was uneventful. Mean postoperative hospital stay was 3 days. On follow-up, 14 patients remained asymptomatic, with postoperative CT angiogram showing no residual stenosis of the celiac trunk. One patient had restenosis and underwent aortoceliac artery bypass grafting after 3 months. Another patient had PTA and stenting 2 months after laparoscopic operation. All patients reported complete resolution of symptoms at a mean follow-up of 28.3 months. CONCLUSIONS: The laparoscopic approach to CACS appears to be feasible, safe, and successful, if performed by experienced laparoscopic surgeons. PTA and stenting resulted in a valid complementary procedure only when performed after the release of the extrinsic compression on the CA. Additional patients with longer follow-up are needed.

Dilatation and curretage technique.

DMC Huron Valley-Sinai Hospital offers hope for severe sinus sufferers through new image-guided surgery that opens up passages, allowing freer breathing and higher quality of life. See two patients who have undergone the procedure and hear about their new lease on life. ~ Detroit Medical Center

Endoscopic Atraumatic Coronary Artery Bypass EndoACA

A rare video showing the flail chest which is traumatic condition during which the chest wall shows paradoxical movement i.e. in with expiration and out with inspiration

Laparoscopic Appendectomy for Acute Appendicitis Post-illeal Appendix

Full Obstetric Examination and Normal Delivery medical video

Intussuseption and Appendectomy

This endoscopy shows a patient with cancer of the larynx, Laryngeal cancer is the most common cancer of the upper respiratory tract. The incidence of laryngeal tumors is closely correlated with smoking, as head and neck tumors occur 6 times more often among cigarette smokers than among nonsmokers. The age-standardized risk of mortality from laryngeal cancer appears to have a linear relationship with increasing cigarette consumption. Death from laryngeal cancer is 20 times more likely for the heaviest smokers than for nonsmokers. It should be suspected in any patient with hoarseness of the voice for three weeks or longer until proven otherwise.

Delorme Operation for Rectal Prolapse

Loyola Full Male Exam Part 3 A video from Loyola medical school, Chicago showing the full examination of the male

Endoscopic fenestration of suprasellar cyst in a 4 years old girl

Hair removal techniques have come a long way since the days of messy creams, electrolysis, and shaving. At South Coast MedSpa, we use the most advanced laser technology to do the job efficiently, cleanly, and with minimal discomfort. The SCMS system is fast, gentle, safe, and effective for all skin types and colors.

To record the sequence, Stephan Gordts and Ivo Brosens of the Leuven Institute for Fertility & Embryology in Belgium performed transvaginal laparoscopy, which involves making a small cut in the vaginal wall and observing the ovary with an endoscope.

"This allows us direct access to and observation of the tubo-ovarian structures without manipulation using forceps," says Gordts.

For the photos of ovulation, which only accidentally captured the critical moment, Jacques Donnez at the Catholic University of Louvain (UCL) in Brussels, Belgium, used gas to distend the organs for photography. However, Gordts and Brosens planned the procedure to coincide with ovulation and used saline solution to "float" the structures.
Perfect timing

Observation was timed for the day of the peak of the patient's luteal hormone cycle. Ovulation was predicted to occur on the evening of the day of the LH peak, and the endoscope introduced at 6 pm.

A small amount of saline was used to float the opening of the fallopian tube, its fimbriae (the "fingers" that sweep the egg into the tube) and the ovary itself. This gives a more natural appearance than gas, says Gordts.

In the video, the fimbriae can be seen sweeping in time with the patient's heartbeat. A mucus plug can be seen protruding from the ovary – this contains the egg.

"The ovum is not captured 'naked'," says Gordts. "There is no eruption like a volcano."

Gordts says that in clinical practice it is not easy to organise the observation of ovulation. "We were probably lucky to be successful at our first attempt," he says.

Physical exam by a urologist including kidney, testicular and prostate exam.

Neck vessels examination,neck viens and arteries

An old video showing how to give an enema

Proctoscope rectal examination

Website : https://www.udemy.com/course/h....istology/?referralCo

Human Histology is one of the basic subject in a Medical Student career. By learning Histology in a proper way, this will help you to get a Visual memory of the Human body. Using this Visual memory, you can Learn any other subjects with little effort. 

This Course is very well organized with lot of Histology images, Line diagrams, simple presentations and clear Explanations. This course has 33 videos, 19 chapters, 6 hours long covering all topics. Every topic is made Simple and Complete. Dr Ram has a great teaching style and has a good experience in teaching medical subjects to students.

After finishing this course, you will be better in your basics, with ability to visualize the human body and this will create an intense thirst to learn more. We give 100% guarantee that you will have a complete and in-depth understanding in short time, You will start to enjoy Learning Medicine because of the visualization of human body you get from this course and you will be ready to face any Medical exams in world. 

Course features:

- Complete Histology lectures covering all chapters

- 19 chapters | 33 Videos | 6 Hours

- Clear Histology images

- Line diagrams for easy understanding

- Lot of memory tips

- High quality audio and Videos

- Can be viewed in Pc, or Phones or TV

Course content: ( 19 Chapters, 33 videos )

I The Cell - 3 Lessons

1. Nucleus

2. Cytoplasm

3. Cell Junctions

II Tissues - 11 Lessons

4. Epithelial tissues

5. Connective tissues

6. Muscular tissues

7. Nervous tissues

8. Bones

9. Cartilage

10. Lymphoid tissues

III Organ systems - 19 Lessons

11. Cardiovascular system

12. Respiratory system

13. Gastrointestinal system

14. Liver and Exocrine pancreas

15. Endocrine system

16. Urinary system

17. male reproductive system

18. Female reproductive system

19. The skin

Instructor : Dr Ram , Med Madness

Complete examination of the abdomen including all the items: inspection, palpation, percussion and auscultation Video